Broadway Remedies Corp.

Primary specialty

PharmacyTaxonomy code 333600000X

License

033842 Issued in NY

Legal business name

BROADWAY REMEDIES CORP.

Practice address

1034 Broadway
Woodmere, NY 11598

Phone

(516) 295-6070

Fax

(516) 295-6071

NPI assigned

Sep 23, 2015

Last updated

May 5, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Devorah Roth, PHARMD.NPI 1225210628

Title

Supervising Pharmacist

Phone

(516) 295-6070

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Devorah Roth, PHARMD

  • Pharmacist
  • Woodmere, NY
  • NPI 1225210628
  NPD (past) Authorized official
• Leah Halberstam

  • Pharmacist
  • Woodmere, NY
  • NPI 1265902936
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1992174619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "516-295-6070",
            "fax_number": "516-295-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "516-295-6070",
            "fax_number": "516-295-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY REMEDIES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DEVORAH",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "516-295-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "033842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightbridge ABA LLC
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• Brightbridge ABA Virginia LLC
• Brighter Day FL LLC
• Broadway Diagnostic Medicine PC
• Joseph Brofsky, DMD
• Jenna Lee Bromberg, LMSW
• Rina Malka Bronstein, LCSW
• Bronx River Nephro Care at Woodmere
• Sallyan Bruno, B.A.

• Pharmacy in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.